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General NPI Number Information
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NPI Number | 1205280112
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Entity Type | Individual
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Provider Name | LAURA LUNA LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/17/2016
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Last Update Date | 02/27/2019
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Provider Practice Location Address
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Address Line | 3704 MACOMB ST NW STE 3
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City | WASHINGTON
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State | DC
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Zip | 20016-3829
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Country | US
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Telephone | 703-655-7771
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Fax |
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Provider Business Mailing Address
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Address Line | 3704 MACOMB ST NW STE 3
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City | WASHINGTON
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State | DC
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Zip | 20016-3829
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Country | US
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Telephone | 703-655-7771
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 56715
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904009420
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC50080899
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License Number State | DC
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